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See a sample rate comparisonCPT 49412 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ins Device For Rt Guide Open, Placement Of Interstitial Device S For Radiation Therapy Guidance Eg Fiducial Markers Dosimeter Open Intra Abdominal Intrapelvic And Or Retroperitoneum Including Image Guidance If Performed Single Or Multiple List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 49412 |
| Medicaid Fee Schedule | View Medicaid rates for 49412 |
National average reimbursement for CPT 49412 by major payers:
$110.23
$115.48
$114.80
$143.89
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CPT 49412
5 of 25 sample ratesHigher to lower in this preview
Texas Endoscopy Centers, LLC, Texas Endoscopy At Independence Medical Village
$2,172.00Published rateAdvanced Surgery Center Of San Antonio, LLC
$1,000.00Published rateCleveland Childrens Surgery Center LLC
$650.00Published rateSandhills Endoscopy Center
$460.00Published rateDiscover Eye Surgery Center, LLC, Eye Surgery Center - The Cliffs
Discover Eye Surgery Center LLC
$75.00Published rate
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See a sample payer proposalCPT 49412 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 49412 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 49412 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 49327-CPT | Low | Lap Ins Device For Rt, Laparoscopy Surgical With Placement Of Interstitial Device S For Radiation Therapy Guidance Eg Fiducial Markers Dosimeter Intra Abdominal Intrapelvic And Or Retroperitoneum Including Imaging Guidance If Performed Single Or Multiple List Separately In Addition To Code For Primary Procedure |
| 49411-CPT | Moderate | Place Radiation Therapy Guide, Insertion Of One Or More Radiation Therapy Guidance Devices. The Devices Guide Regulate Or Deliver Radiation Therapy To A Specific Place Inside The Body. Insertion May Be Done By Puncturing The Skin Or During Surgery. |
| 49412-CPT | Low | Ins Device For Rt Guide Open, Placement Of Interstitial Device S For Radiation Therapy Guidance Eg Fiducial Markers Dosimeter Open Intra Abdominal Intrapelvic And Or Retroperitoneum Including Image Guidance If Performed Single Or Multiple List Separately In Addition To Code For Primary Procedure |
| 49418-CPT | High | Insert Tun Ip Cath Perc, Insertion Of Tunneled Intraperitoneal Catheter Eg Dialysis Intraperitoneal Chemotherapy Instillation Management Of Ascites Complete Procedure Including Imaging Guidance Catheter Placement Contrast Injection When Performed And Radiological Supervision And Interpretation Percutaneous |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 49412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 49412 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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